NW Massage Therapy Corp

NPI #1255852117 in Vancouver, Washington

Provider Information

NPI Number: 1255852117
Entity Type: Organization
Organization Name: NW Massage Therapy Corp
Primary Specialty: Massage Therapist
Enumeration Date: Jun 30, 2017
Last Updated: Jun 30, 2017

Practice Location

Address: 16906 SE 1ST ST STE 103
City: Vancouver
State: Washington
ZIP Code: 98684-8512
Phone: (360) 903-9963

Authorized Official

Name: DOUGLAS BLACK, LMP
Title: PRESIDENT
Phone: (360) 903-9963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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